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tigers11

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  1. Remember to release the tourniquet. This wasn't in the steps and is a big one to remember! Our hospital had to develop an action plan because staff were forgetting to release the tourniquet.
  2. I also looked in Ackley under discharge planning. Deficient Knowlege, Impaired Home Maintenance, and Ineffective Health Maintenance were the three diagnoses listed. Impaired home maintenance r/t (isufficient family planning and finances, and unfamiliarity with neighborhood resources) aeb... Could this work? Can you assume that the family is struggling with finances after husband has been laid off? The child's whole daily routine is completely different than what she is used to.. I'm wondering if I should just start completely over?!
  3. So heres more to the story.. All of the nursing diagnoses r/t pneumonia and or asthma, were resolved by hospital day 4, which was the day I was assigned to the patient. I had the child 2 hours before discharge. I was responsible for a daily assesment, Dcing the IV, and bath cares before discharge. I was also there for discharge instructions. I was thinking along those lines.. What can this family do to prevent re-hospitalization. Financial concerns, community resources for medications, well-child visits.. etc. Father had been laid off his job, Child had gone into a daycare setting, Mother no longer the primary care giver during the day. Thanks for your response.
  4. C's get Degrees. If you are doing the best you can don't beat yourself up about it. If you have a passion for helping people and want to a good job you are already ahead of some people! You'll be fine, just get through it.
  5. My nursing diagnosis is... Interrupted family processes r/t situational transitioning(daycare+preschool)and modification in family finances aeb changes in availability for emotional support and change in pattern/rituals. Here's some background info. I was caring for a 4 year old patient admitted for Left upper lobe pneumonia. This problem was resolved by hospital day 4 which was the same day she was under my care and discharged. Other nursing diagnoses were not applicable during my care. Sooo I went a different direction. The child has been hospitalized 6 times prior to this hospitalization all for pneumonia and asthma related symptoms. Dad works 3rd shift and was recently laid off. Mom works during the weekend and both are currently starting back to school. The patient has been increasingly aggressive and sometimes combative according to the mother. The patient also stated to me that " she gets sad when she has to be in the hospital" My current outcomes are: 1. Family Functioning 2. Family Coping I am struggling with the interventions.. All I have so far is Family Process Maintenance. Any ideas please let me know.. THANKS!
  6. For the diagnosis of disruptive family processes. I'm stuck- finishing up on my care plan and looking for help with some nursing interventions.

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